Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.06 / $967.25 / $1,003.08	Facility		$684.06	$967.25	$1,003.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.66 / $1,026.02 / $1,130.26	Professional		$846.66	$1,026.02	$1,130.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,171.48 / $1,881.89 / $1,977.87	Facility		$1,171.48	$1,881.89	$1,977.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $1,102.02 / $1,136.98	Professional		$880.20	$1,102.02	$1,136.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,411.42 / $2,653.46 / $3,423.93	Facility		$1,411.42	$2,653.46	$3,423.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,787.80 / $2,388.02 / $3,105.12	Professional		$1,787.80	$2,388.02	$3,105.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,477.81	Facility		$1,277.46	$1,277.46	$2,477.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $10,385.27	Professional		$932.55	$1,277.46	$10,385.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $983.48 / $1,199.36 / $1,499.21	Professional		$983.48	$1,199.36	$1,499.21
United Facility/Professional Professional Modifier Low / Median / High Price $625.90 / $938.86 / $1,326.46	Professional		$625.90	$938.86	$1,326.46